Organization · Type 2 NPI

Tuckerville

Clinical Social Worker · Wayne, MI

NPI number 1437626454 Active

Practice location

35230 E Michigan Ave
Wayne, MI 48184-3698

Fax (734) 345-4104

Mailing address

PO Box 125
Belleville, MI 48112-0125

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1437626454

Tuckerville's National Provider Identifier is 1437626454, issued on Oct 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wayne, MI. The record was last updated on Sep 13, 2025.